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Updated: Aug 1, 2026
An Intramedullary Locking Nail for Standardized Fixation of Femur Osteotomies to Analyze Normal and Defective Bone Healing in Mice
Published on: November 13, 2016
Short versus long intramedullary nails for intertrochanteric hip fracture: Meta-analysis
P Domenech1, G Mariscal1, V Marquina1
1Department of Orthopedic Surgery and Traumatology, La Fe University and Polytechnic Hospital, Valencia, Spain; Department of Orthopedic Surgery and Traumatology, Valencia General University Hospital, Valencia, Spain.
Objective:
To compare short versus long intramedullary nails for intertrochanteric hip fractures in terms of efficacy and safety.
Methods:
We included cohort studies and randomized clinical trials. The methodological quality of the studies was assessed by the Newcastle-Ottawa Scale. The meta-analysis was performed using the Review Manager 5.4. Heterogeneity was checked with the I2 test. A fixed effects model was adopted if there was no heterogeneity.
Results:
Twelve studies were included. The reoperations rate was lower in the short nail group (OR 0.58, 95% CI 0.38-0.88) and there were no differences regarding the peri-implant fracture rate (OR 1.77, 95% CI 0.68-4.60). Surgery time and blood loss was significantly higher in the long nail group (MD -12.44, 95% CI -14.60 to (-10.28)) (MD -19.36, 95% CI -27.24 to (-11.48)). There were no differences in functional outcomes.
Conclusions:
The long nail showed a higher reoperation rate, blood loss and surgery time compared to the short nail.
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